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Dr. Usha Mallinath | Paediatric Neurologist in Whitefield Bangalore | Manipal Hospitals

Dr. Usha Mallinath

Consultant - Paediatric Neurologist

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Dr. Usha Mallinath | Paediatric Neurologist in Whitefield Bangalore | Manipal Hospitals
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Dr. Usha Mallinath

Consultant - Paediatric Neurologist

Manipal Hospitals, Whitefield

Early Signs of Autism in Children: Diagnosis, Symptoms & Treatment

Posted On: Oct 29, 2025
blogs read 6 Min Read
Early Signs of Autism in Children

You, as a parent, observe each little change in your child, the first smile, the first step, the first word. With the pleasure of these events comes the obligation to ensure your child's development is as it should be. Occasionally, slight variations of behaviour can hint at conditions requiring early treatment. One such condition is Autism Spectrum Disorder (ASD).

Identifying the early signs of autism in children is not about labelling them instantly. It's about learning better about their world and providing them with the proper support at the proper time. Early identification can lead to therapy and interventions that significantly enhance social, emotional, and learning outcomes. In this blog, we’ll walk through what autism looks like in its early stages, how it differs from usual variations in child developmental milestones, and when to seek guidance for an autism diagnosis.

 

What Is Autism Spectrum Disorder?

Autism spectrum disorder (ASD) is a developmental condition that affects how children communicate, interact, and learn. The term “spectrum” is used because autism presents differently in every child - some may have subtle differences, while others may need significant support in daily life.

It’s important to remember that children with autism are not “less capable”. They may simply process information, express emotions, or react to their surroundings differently. Recognising this early is the first step towards providing effective care and therapy.

Early Signs of Autism in Children

Many parents notice differences in their child’s development before the age of two. Some children show signs even earlier. Autism symptoms often involve challenges in communication, social interaction, and repetitive behaviours.

Look out for these key autism symptoms in kids:

Autism Symptoms

Communication delays

Limited babbling, gestures, or pointing by 12–18 months.

Poor eye contact

Avoids looking directly at people, even parents.

Delayed speech

No single words by 16 months, or no meaningful two-word phrases by 2 years.

Lack of response

Doesn’t respond to their name or familiar voices.

Unusual interests or repetitive actions

Hand flapping, rocking, or focusing intensely on one toy.

Preference for routine

Becomes very upset with changes in routine or surroundings.

Not every child showing one of these traits has autism. But if multiple patterns appear consistently, it’s worth seeking advice.
 

Understanding Developmental Milestones Vs Autism

Every child grows at their own pace, and delays don’t always mean autism. For example, some children may talk later but catch up quickly. What makes autism stand out is the combination of social, communication, and behavioural differences.

For instance:

  • A child with a speech delay but good eye contact and interactive play may not have autism.

  • A child who avoids eye contact, shows little interest in others, and repeats behaviours may show early signs of autism in children.

This distinction highlights why consulting a specialist in child development is so important. They can assess whether your child’s behaviour falls within normal variation or points toward autism.

Early Signs of Autism in Children

Why Early Recognition Matters?

The brain develops rapidly during the first five years of life. Early intervention during this stage can shape how a child communicates, learns, and builds relationships.

Benefits of early recognition include:

  • Access to therapies that support speech, social skills, and motor development.

  • Reduced frustration for both the child and the parents by addressing communication barriers.

  • Better chances of independence and integration in school settings.

  • Stronger emotional bonding between the child and family with the right support.

Delaying autism diagnosis often means missed opportunities to help children reach their full potential.

Autism Diagnosis: What to Expect

If you suspect autism, your paediatrician may refer you to a paediatric neurologist. Diagnosis usually involves:

  • Detailed history of child developmental milestones.

  • Observation of behaviour, communication, and play.

  • Structured tests for social and language skills.

  • Hearing and vision assessments to rule out other issues.

An autism diagnosis doesn’t define your child’s future. It simply guides the best possible support plan.

Autism Treatment and Support

There’s no “cure” for autism, but early therapies make a huge difference. Autism treatment is highly personalised and may include:

Treatment for Autism

Speech therapy

To improve language and communication

Occupational therapy

To develop motor skills and manage daily activities

Behavioural therapy (ABA)

To encourage positive behaviours and reduce difficulties

Special education support

Tailored learning environments for better outcomes

Parent counselling and training

To help families understand and support their child

When therapy begins early, children often make remarkable progress in communication and daily living

Role of Parents and Families

As a parent, you play the biggest role in your child’s journey. Simple daily efforts, making eye contact, encouraging interactive play, or reading together, help reinforce therapy. Support groups and autism awareness programmes also provide emotional strength and practical advice.

Families should also remember that caring for themselves is vital. A well-supported parent is better equipped to support their child.

Conclusion

Identifying the first signs of autism in children is all about providing them with the best opportunity to develop and flourish. If you observe unusual communication, social interactions, or repetitive behaviour, do not delay. Consult a professional. Early diagnosis of autism results in early autism treatment and improved long-term outcomes.

At Manipal Hospital Whitefield, our team of paediatric neurologists assists families with evaluation, therapy, and long-term care. In a collaborative environment, we can foster an environment where each child's individual strengths are encouraged.

Get an appointment with our pediatric neurologist and embark on the journey of better understanding and supporting your child.

FAQ's

Autism can be consistently diagnosed by age 2, but symptoms may be evident earlier. The sooner the diagnosis is made, the earlier the treatment can start, which significantly enhances results.

Infants may exhibit less eye contact, failure to use gestures such as waving or pointing, or not respond when called. If these tendencies continue beyond 12–18 months, they could be signs.

Not necessarily. Most children learn to speak later without having autism. But if poor eye contact and less interaction accompany late speech, it might be a part of the symptoms of autism.

Autism is for life, but with treatments, kids can become more independent by learning certain skills. They do not "outgrow" autism, but many improve extensively with early intervention.

Parents can establish routines, employ visual supports, engage in interactive play, and foster low-level social interactions on a daily basis. Collaboration with therapists guarantees ongoing progress at home and in the professional environment.

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